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在体外对豚鼠离体回肠段暴露于吗啡20小时后,依赖性和耐受性功能解离的证据。

Evidence for functional dissociation of dependence and tolerance in guinea-pig isolated ileal segments following 20 hour exposure to morphine in vitro.

作者信息

David C, Davis N, Mason R, Wilson V G

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, Queen's Medical Centre.

出版信息

Br J Pharmacol. 1993 Dec;110(4):1522-6. doi: 10.1111/j.1476-5381.1993.tb13995.x.

Abstract
  1. In the present study we have examined the relationship between tolerance and dependence in isolated ileal segments from the guinea-pig under three different conditions: fresh preparations not previously exposed to morphine (fresh/morphine naive); preparations stored overnight at 4 degrees C in modified Krebs-Henseleit saline (overnight-stored/morphine-naive); preparations stored overnight at 4 degrees C in Krebs-Henseleit saline containing 10 microM morphine and extensively washed with modified Krebs-Henseleit saline to remove residual morphine (overnight-stored/morphine-exposed). 2. Morphine produced a concentration-dependent inhibition of the response of ileal segment to 0.1 Hz, 1 ms and 10 V transmural field stimulation in fresh/morphine-naive, overnight-stored/morphine-naive and overnight-stored/morphine-exposed preparations. The maximum effect observed was similar in all three preparations-approximately 80% inhibition. Although, morphine was significantly more potent in the fresh/morphine-naive preparations (pD2 6.72 +/- 0.05, n = 8) than either the overnight-stored/morphine-native (pD2 6.42 +/- 0.11, n = 8) or the overnight-stored/morphine-exposed (pD2 6.44 +/- 0.14, n = 8), there was no significant difference between the overnight exposure to ileal segments to 10 microM morphine at 4 degrees C failed to induce tolerance to morphine. 3. The mu opiate receptor antagonist, naloxone (10 microM), produced contractions in both fresh/morphine-naive and overnight-stored/morphine-naive ileal segments following acute exposure to 10 microM morphine. Naloxone (10 microM) also produced contractions in 2/9 fresh/morphine-naive, 1/9 overnight-stored/morphine-naive and 7/9 overnight-stored/morphine-exposed preparations in the absence of morphine. The greater incidence of naloxone-induced contractions in overnight-stored/morphine-exposed preparations,suggests that dependence in this model is the product of adaptive changes that outlive the presence of morphine.4. The selective alpha2-adrenoceptor agonists, clonidine (0.3 microM) and 5-bromo-6-[2-imidazolin-2-ylamino]-quinoxaline bitartrate (UK-14304, 1 microM), inhibited naloxone-induced contractions in overnight-stored/morphine-exposed preparations of ileal segments (n = 4 preparations for each agonist), suggesting that the response is due to transmitter release from the myenteric plexus.5. The findings in the present study indicate that tolerance and dependence to morphine in ileal segments of the guinea-pig can be functionally dissociated by overnight exposure to morphine at 4 degrees C.The development of tolerance to morphine, unlike dependence, appears to be a temperature-dependent process. This also raises the possibility that naloxone possesses intrinsic negative agonism at morphine sensitive receptors, which is manifested as a functional response only after adaptive changes in the myenteric plexus following exposure to morphine.
摘要
  1. 在本研究中,我们在三种不同条件下检测了豚鼠离体回肠段中耐受性与依赖性之间的关系:未曾接触过吗啡的新鲜标本(新鲜/未接触吗啡);在改良的克雷布斯 - 亨斯莱特盐溶液中于4℃储存过夜的标本(过夜储存/未接触吗啡);在含有10微摩尔/升吗啡的克雷布斯 - 亨斯莱特盐溶液中于4℃储存过夜并经改良的克雷布斯 - 亨斯莱特盐溶液充分冲洗以去除残留吗啡的标本(过夜储存/接触过吗啡)。2. 吗啡对新鲜/未接触吗啡、过夜储存/未接触吗啡以及过夜储存/接触过吗啡的回肠段对0.1赫兹、1毫秒和10伏跨膜电场刺激的反应产生浓度依赖性抑制。在所有三种标本中观察到的最大效应相似,约为80%的抑制。尽管吗啡在新鲜/未接触吗啡的标本中(pD2 6.72±0.05,n = 8)比过夜储存/未接触吗啡(pD2 6.42±0.11,n = 8)或过夜储存/接触过吗啡(pD2 6.44±0.14,n = 8)的标本更有效,但在4℃下将回肠段过夜暴露于10微摩尔/升吗啡未能诱导对吗啡的耐受性。3. μ阿片受体拮抗剂纳洛酮(10微摩尔/升)在急性暴露于10微摩尔/升吗啡后,使新鲜/未接触吗啡和过夜储存/未接触吗啡的回肠段产生收缩。在不存在吗啡的情况下,纳洛酮(10微摩尔/升)也使2/9的新鲜/未接触吗啡、1/9的过夜储存/未接触吗啡和7/9的过夜储存/接触过吗啡的标本产生收缩。过夜储存/接触过吗啡的标本中纳洛酮诱导收缩的发生率更高,这表明在该模型中依赖性是适应性变化的产物,这种变化在吗啡存在后仍然存在。4. 选择性α2肾上腺素能受体激动剂可乐定(0.3微摩尔/升)和5 - 溴 - 6 - [2 - 咪唑啉 - 2 - 基氨基] - 喹喔啉酒石酸盐(UK - 14304,1微摩尔/升)抑制过夜储存/接触过吗啡的回肠段标本中纳洛酮诱导的收缩(每种激动剂n = 4个标本),表明该反应是由于肌间神经丛释放递质所致。5. 本研究中的发现表明,豚鼠回肠段对吗啡的耐受性和依赖性可通过在4℃下将回肠段过夜暴露于吗啡而在功能上分离。与依赖性不同,吗啡耐受性的发展似乎是一个温度依赖性过程。这也增加了纳洛酮在吗啡敏感受体上具有内在负性激动作用的可能性,这种作用仅在暴露于吗啡后肌间神经丛发生适应性变化后才表现为功能性反应。

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本文引用的文献

1
Model of opiate dependence in the guinea-pig isolated ileum.豚鼠离体回肠阿片类药物依赖模型。
Br J Pharmacol. 1981 Aug;73(4):921-32. doi: 10.1111/j.1476-5381.1981.tb08747.x.
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Cellular site of opiate dependence.阿片类药物依赖的细胞位点。
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